门诊费用纳入新型农村合作医疗大病统筹基金的慢性病筛选

目的:探索将门诊费用纳入新型农村合作医疗大病统筹基金的慢性病病种的筛选方法,并对该方法的可行性与合理性进行论证。方法:将疾病负担尺度与费用尺度相结合,取二者交集,从最终的疾病谱中选取10种慢性病作为拟纳入的病种;通过测算参合者个人在原先交费基础上多缴纳的费用额度,来论证疾病纳入的合理性。结果:选取了10种慢性病作为拟纳入的病种;测算出10种慢性病不同补偿比下参合者个人在原先基础上多交纳的费用额度。结论:将慢性病人门诊费用纳入新型农村合作医疗大病统筹基金管理具有可行性。

Selection of Chronic Disease for Taking Outpatients' Expenditure into Pooling Fund for Serious Disease in New Rural Cooperative Medical System Operation

Objective:To explore the method for taking outpatients' expenditure intopooling fund for serious diseaseand to discuss the feasibility and rationality of the method.Method:Applying the disease burden criterion and expenditure criterion together to ascertain the spectrum of chronic disease,selecting the intersection of the former spectrums according to different criterions respectively,and measuring the fees of the policy holder paying the government on the basis of the former amounts.Results: 10 kinds of ch...